PDCA循环管理对哺乳期急性乳腺炎的影响  

Influence of PDCA cycle management on acute mastitis in suckling period

作　　者：高娟[1] 刘梦辉 刘翰桥 

机构地区：[1]陕西中医药大学第二附属医院妇产科,陕西咸阳712000 [2]陕西中药研究所办公室,陕西咸阳712000 [3]湖北医药学院药护学院麻醉科,湖北十堰442000

出　　处：《中国医药导报》2016年第5期165-168,共4页China Medical Herald

摘　　要：目的探讨PDCA循环管理对哺乳期急性乳腺炎的影响。方法分析陕西中医药大学第二附属医院妇产科2014年12月~2015年8月收治的哺乳期急性乳腺炎患者144例临床资料,依据护理措施不同进行临床分组,对照组（常规护理组）64例和观察组（PDCA循环管理组）80例。观察两组临床治疗效果、并发症、心理情绪变化、满意度和护理工作质量评分情况。结果观察组患者临床治疗总有效率（97.5%）高于对照组（81.3%）,差异有统计学意义（P〈0.05）。观察组患者脓毒症、菌血症发生率（1.3%、1.3%）均低于对照组（12.5%、12.5%）,差异有统计学意义（P〈0.05）。对照组和观察组患者护理前SDS[（50.0±6.1）、（51.4±6.2）分]、SAS[（51.3±6.4）、（50.3±7.4）分]比较,差异无统计学意义（P〉0.05）。对照组护理后SDS[（38.0±5.3）分]、SAS[（37.6±6.4）分]均低于护理前,观察组护理后SDS[（23.0±5.1）分]、SAS[（24.4±5.7）分]均低于护理前,观察组护理后SDS、SAS均低于对照组,差异有统计学意义（P〈0.05）。观察组患者满意度（100%）和护理工作质量评分[（88.8±10.4）分]均高于对照组[75%、（67.5±12.4）分],差异有统计学意义（P〈0.05）。结论 PDCA循环管理在哺乳期急性乳腺炎患者中应用,可以提高临床治疗效果,降低并发症发生率,改善患者不良心理情绪,提高护理工作质量。Objective To discuss influence of PDCA cycle management on acute mastitis in suckling period. Methods Clinical data of 144 patients with acute mastitis in suckling period from December 2014 to August 2015 in Department of Gynaecology and Obstetrics, the Second Affiliated Hospital of Traditional Chinese Medicine in Shaanxi Province were analyzed. The patients were divided into two groups by different nursing, control group（ routine nursing group） of 64 cases and observation group（PDCA cycle management group） of 80 cases. The clinical curative effect, complication, psychological mood changing, satisfaction and nursing quality evaluation between two groups were detected. Results The clinical treatment total effective rate of observation group（97.5%） was higher than that of control group（81.3%）, with statistical difference（P〈0.05）. Incidence rate of sepsis and bacteremia in observation group（1.3%, 1.3%） were lower than those in control group（12.5%, 12.5%）, with statistical differences（P〈0.05）. SDS [（50.0±6.1） scores], SAS[（51.3 ±6.4）scores] of control group and SDS [（51.4±6.2） scores], SAS [（50.3±7.4） scores] of observation group before nursing were compared, with no statistical differences（P〉0.05）. SDS[（38.0±5.3） scores], SAS[（37.6±6.4） scores] of control group after nursing were lower than before nursing, SDS[（23.0±5.1）scores], SAS[（24.4±5.7）scores] of observation group after nursing were lower than before nursing, SDS, SAS of observation group after nursing were lower than thoe of control group, with statistical differences（P〈0.05）. The satisfaction（100%） and nursing quality evaluation [（88.8 ±10.4） scores] of observation group were higher than those of control group [75%,（67.5±12.4） scores], the differences were statistical signifi cantly（P〈0.05）. Conclusion PDCA cycle management applied in acute mastitis patients in suckling period can improve clinical curative effect, decrease incidence rate of complicati

关 键 词：PDCA循环管理 哺乳期 急性乳腺炎 护理工作质量 

分 类 号：R473.71[医药卫生—护理学]